NPI 1003400748
Taja Brothers, RBT
Practice location
- Address
- 382 Racetrack Rd, McDonough, GA 30252-1022
- Phone
- (678) 691-2206
- Mailing address
- 416 Camella Cir, McDonough, GA 30252-8918
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1003400748
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 23 Feb 2021
- Record last updated
- 23 Feb 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.